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20-103973 Permit Applicationi CITY OF Federal Way PERMIT APPLICATION PERMIT CENTER + 33325 811' Avenue South + Federal Way, WA 98003-6325 253-835-2607 + FAX 253-835-2609 + permitcenternucityoffederalway.com PERMIT NUMBER — � - � TARGET DATE SITE ADDRESS 303 S. 302ND PL FEDERAL WASP, WA 98003 PROJECT VALUATION $80,000.00 TYPE OF PERMIT NAME OF PROJECT PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER CONTRACTOR APPLICANT PROJECT CONTACT (The individual to receive and respond to all correspondence concerning this application) PROJECT FINANCING when value is $5,000 or more fRCW 7 9.27.095) I certify under penalty of P of my knowledge, the informal all applicable City of Federal issuance of this permit does construction or environmental I further agree to hold harr the investigation and defense but only where such claim a ir}formation supplied to the cif Bulletin 4 100 - February 19, 2020 7.ONING I ASSESSOR'S TAXIPARCEL # SUITE/UNIT # 795450 - 0240 X BUILDING Q PLUMBING © MECHANICAL 0 DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION GINA SIMM FIRE REPAIR Repairs to single family residence due to fire damage. Work is Located both interior and exterior. NAME PRIMARY PRONE Gina slmm 206-501-9319 MAILING ADDRESS ;MAM ainathau"d, utlook.cam CITY STATE ZIP Federal Way WA 98003 FAME PHONE statewide Restoration 206-841-4702 MAILING ADDRESS E-MAIL serge.stasynk(ugoetatewide.com 25713 74th AVE S CITY STATE ZIP FAX Kent WA 98032 WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE USI # STATERI866KH NAME PRIMARY PHONE AteB#.nder D. Dariotis 425-773-4356 MAILING ADDRESS E-MAIL 6306 176th ST SW darioti#2Lg�nail.cam CITY STATE ZIP FAX Lynnwood WA 98037 NAME PRIMARY PHONE Dean C. Dartatis 425-772-3167 MAILING ADDRESS E-MAIL deaadariotisrnl_,gmad-com 6306 176th ST SW CITY STATE ZIP FAX Lynnwood WA 98037 NAME OWNER -FINANCED Gins Sim MAILING ADDRESS, CITY, STATE, ZIP PHONE 303 S. 302nd PL Federal Way, WA 98-3 !rjury that I am the property owner ar authorized agent of the property owner. I certify that to the best Eon in support of this permit application is true and correct. I certify that I will comply with submitted pVay regulations pertaining to the work authorized by the issuance of a permit. I understand that the not remove the owner's responsibility for compliance with local, state, or federal laws regulating taws. :less the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in of such claim), which may be made by any person, including the undersigned, and flied against the city, ises out of the reliance of the city, including its officers and employees, upon the accuracy of the y as a part of this application. Page 1 of 2 kAHandouts\Pennit Applicatior SIGWATUPS: A PRINT NAME: ?1e=x MECHANICAL PERMIT Indicate how man o eachmpe o re to be installed or re2 AIR HANDLING UNITS FANS AIR CONDITIONER FIREPLACE INSERTS BOILERS FURNACES COMPRESSORS GAS LOG SETS DUCTING GAS PIPING PLUMBING PERMIT Indicate how many of each type o re to be installed or reloc BATHTUBS (or1,.b/sh--Comhu) LAYS (H—dsip) DISHWASHERS RAINWATER SYSTEMS DRAINS SHOWERS DRINKING FOUNTAINS SINKS (Kiwhe /utaity) HOSE BIBBS SUMPS GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR NO PUBLIC E]aSTINCr/PREVIOUS USE LOT SIZE (In Square Feet) SFR 8585 RESIDENTIAL - NEW OR ADDITION VALUE OF MECHANICAL WORK $0 as part of this project Do not include existing fixtures to remain. GAS PIPE OUTLETS OTHER (Describe) HOODS (camm—w) HOT WATER TANKS IG REFRIGERATION SYST WOODSTOVES �VA�LUE OF P�RINGWOIPJXI as part o this project. Do not include existing res to remain. TOILETS WATER PIPING URINALS OTHER (Describe) VACUUM BREAKERS WATER HEATERS (Electric) WASHING MACHINES TOTAL FIXTURES SEWER PURVEYOR PUBLIC EXISTING FIRE SPRINKLER SYSTEM? X No AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL 0 BASEMENT 1290 FIRST FLOOR (or Mobile Home) 1210 SECOND FLOOR 190 COVERED F-NTRY 0 DECK 550 GARAGE X CARPORT ❑ OTHER (describe) =.TING x�a PROMISE- TOTAL Area Totals **N m HOMES ONLY** SELLING PRICE $ # OF VALUE OF EXISTING IMPROVEMENTS PROPOSED FIRE SUPPRESSION SYSTEM? No FOR OFFICE USE Bulletin # 100 — February 19, 2020 Page 3 of 2 0Hapdouts\Permit Application